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Diagnose and treat constipation- or diarrhoea-predominant irritable bowel syndrome with confidence
被引:0
|作者:
Fenton, Caroline
[1
]
Kang, Connie
[1
]
机构:
[1] Springer Nat, Private Bag 65901, Auckland 0754, New Zealand
关键词:
MANAGEMENT;
GUIDELINE;
D O I:
10.1007/s40267-022-00906-w
中图分类号:
R9 [药学];
学科分类号:
1007 ;
摘要:
Irritable bowel syndrome (IBS) is diagnosed based on clinical criteria of regular abdominal pain and disordered defaecation. If first-line treatments such as lifestyle changes fail, patients with diarrhoea-predominant IBS may respond to rifaximin, eluxadoline or, for women, alosetron, if tolerated. For constipation-predominant IBS, options are tegaserod for younger women, and the secretagogues linaclotide, plecanatide, lubiprostone and tenapanor. As IBS is a gut-brain interaction disorder, neuromodulators such as tricyclic antidepressants may help.
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页码:171 / 176
页数:6
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